| NPI | 1154358851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: VA 0101221304) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101221304) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-07-10 |