| NPI | 1104843002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 28800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30492) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-05-20 |