| NPI | 1568825420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 22941-875) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 22941-875) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301501626) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-10-14 |