| NPI | 1235180332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: PA MD426524) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD426524) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD426524) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2019-10-25 |