| NPI | 1508870551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD D34944) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D34944) |
| 208000000X Pediatrics (Licence: MD D34944) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-03-02 |