NPI | 1548216344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD D60660) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ MA53840) |
208000000X Pediatrics (Licence: MD D60660) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2017-03-03 |