| NPI | 1649243361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NH 261) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 37032) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 37032) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2018-01-22 |