| NPI | 1326080409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: IA MD-51700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M3349) |
| 208000000X Pediatrics (Licence: IA MD-51700) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M3349) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA 60384476) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IA MD-51700) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IA MD-51700) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-09-12 |