| NPI | 1235193319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA G71675) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G71675) |
| 208000000X Pediatrics (Licence: CA G71675) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-05-13 |