| NPI | 1033642228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AR E-15131) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-15131) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-07-15 |