| NPI | 1447696703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: IN 01082406A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01082406A) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01082406A) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IN 01082406A) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2025-03-14 |