| NPI | 1609990290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: HI MD-12767) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A86333) |
| 208000000X Pediatrics (Licence: HI MD-12767) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A86333) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-02-09 |