| NPI | 1427439876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX V3577) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT209607) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MT209607) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-09-03 |