| NPI | 1558442210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KS 04-33978) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-33978) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AR E-4321) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2017-03-02 |