| NPI | 1548331309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0024064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C52352) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA10925600) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA C52352) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-12-20 |