| NPI | 1104141712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY 58549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012014535) |
| 208000000X Pediatrics (Licence: MI 4301055614) | |
| 208000000X Pediatrics (Licence: MT 12298) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301055614) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 63034) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 63034) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MS 24539) | |
| 2084N0600X (Licence: KY 58549) | |
| 2084N0600X (Licence: WI 63034) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2023-11-02 |