NPI | 1992943781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME109147) |
Enumeration Date | 2009-02-02 |
Last Update Date | 2021-03-29 |