| NPI | 1497052021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 57227) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114128) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2024-03-11 |