| NPI | 1194112268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: IN 01088295A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01088295A) |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: IN 01088295A) | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: IN 01088295A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2022-10-18 |