NPI | 1063688612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X (Licence: TX N2255) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX N2255) |
2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX N2255) | |
208000000X Pediatrics (Licence: TX N2255) | |
Enumeration Date | 2008-05-05 |
Last Update Date | 2024-09-16 |