| NPI | 1447531157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: PA MD470887) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: WV 26081) |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: PA MD470887) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NC 2018-02767) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-10-01 |