| NPI | 1356769483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AR E-12304) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E12304) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-07-30 |