| NPI | 1598182412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX T7453) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T7453) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX T7453) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-04-10 |