| NPI | 1679506091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 34917-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 34917-20) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: WI 34917-20) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: WI 34917-20) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2025-08-28 |