| NPI | 1437314143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: ND 12652) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CO DR.0060383) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301091742) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 55602-020) | |
| 208000000X Pediatrics (Licence: MI 4301091742) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2024-01-02 |