NPI | 1922153667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD D0073184) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 206550) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-10-10 |