NPI | 1922433135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: VT 042.0012761) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2013-09-06 |