| NPI | 1508801556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TN 56640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 56640) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 56640) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-03-23 |