| NPI | 1588847529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: KY C1118) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014012628) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 61086) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO 2014012628) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2022-12-20 |