NPI | 1134305071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 224330) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 224330) |
2080S0012X Pediatrics, Sleep Medicine (Licence: MA 235269) | |
Enumeration Date | 2008-01-10 |
Last Update Date | 2015-01-22 |