| NPI | 1629221981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: UT 7148526-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7148526-1205) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 7148526-1205) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2021-11-30 |