| NPI | 1588640346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD047815L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD047815L) |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: PA MD047815L) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2010-10-14 |