NPI | 1962599092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 36145) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 39102) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TN 39012) | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2018-05-23 |