| NPI | 1104877224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: SC 52034) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 52034) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NC 35174) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2023-12-06 |