| NPI | 1578595211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CA 20A16479) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA 20A16479) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA 20A16479) | |
| 208000000X Pediatrics (Licence: CA 20A16479) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-11-13 |