| NPI | 1528370756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD454852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454852) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD D90887) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2021-12-01 |