NPI | 1912999350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35071647N) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2023-11-03 |