| NPI | 1013085448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: DC MD34093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD34093) |
| 208000000X Pediatrics (Licence: DC 34093) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-31 |