| NPI | 1518274299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX Q0335) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX q0355) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX BP10038146) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2023-06-08 |