| NPI | 1316380249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA OS021706) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS021706) |
| 208000000X Pediatrics (Licence: TX Q5064) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: PA OS021706) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TX Q5064) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX Q5064) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2022-04-25 |