| NPI | 1013023399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME88713) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: FL ME88713) |
| 208000000X Pediatrics (Licence: FL ME88713) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-08-18 |