| NPI | 1578732053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: RI MD18847) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD18847) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 231470) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-08-17 |