| NPI | 1407432982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2023005641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10515) |
| 208000000X Pediatrics (Licence: MO 2021019902) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KS 9410515) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-07-06 |