NPI | 1407167372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2013005666) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0438024) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2013005666) | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KS 04-38024) | |
Enumeration Date | 2010-06-25 |
Last Update Date | 2024-06-11 |