| NPI | 1295900876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301094664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301094664) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 5315041478) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MO 4301094664) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2015-12-11 |