| NPI | 1295723450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: CA C150674) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: DC 18892) |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NH 14663) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: NH 14663) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: DC 18892) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-05-06 |