NPI | 1417066556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA OP60146312) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA OP60146312) |
2080S0012X Pediatrics, Sleep Medicine (Licence: WA OP60146312) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-03-10 |