| NPI | 1083883896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD60938414) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: IA MD-41022) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WA MD60938414) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IA 41022) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2011007124) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2019-10-26 |