| NPI | 1609131770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IA MD-46088) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-46088) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DE C1-0012146) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-46088) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2019-06-27 |