| NPI | 1538612908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OR MD222948) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD222948) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61258695) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD61258695) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2025-08-13 |