NPI | 1932637709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 291204) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 271013) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2023-06-05 |