NPI | 1144209248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: ID O-0882) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ID O-0882) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA 20A7701) | |
Enumeration Date | 2006-01-17 |
Last Update Date | 2024-08-29 |