| NPI | 1043300544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CT 048575) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-4328) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-4328) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AR E-4328) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD60465754) | |
| 208000000X Pediatrics (Licence: WA MD60465754) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WA MD60465754) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60465754) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-10-05 |