NPI | 1902878606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CT 029251) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2022-04-13 |