| NPI | 1346364809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: TX N1416) |
| Additional Taxonomies | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: GA 054308) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-04-21 |