| NPI | 1588866586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OR MD166936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01034) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 125056270) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-06-24 |