| NPI | 1376292177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 70077) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MN 70077) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: MN 70077) | |
| 2084N0600X (Licence: MN 70077) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: MN 70077) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |