| NPI | 1225394802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 75248) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 75248) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX S2236) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 75248) | |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2022-05-18 |