| NPI | 1588170161 |
|---|---|
| Former Name | JONATHAN SHAYO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME167413) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T2979) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-09-30 |