| NPI | 1417104548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 44762) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-053657) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-09-25 |