| NPI | 1033436548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD025080L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD025080L) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD025080L) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |