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 |