| NPI | 1538191309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MA 48756) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MA 48756) |
| 208000000X Pediatrics (Licence: MA 48756) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-05-15 |