| NPI | 1215967518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA md038044E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA md03044E) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-03-17 |