| NPI | 1538282736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD60152986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-099156) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD60152986) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-07-20 |