| NPI | 1356838247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.151934) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301508897) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.151934) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301508897) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2025-01-22 |