| NPI | 1679549737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IA 37386) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL D36106050) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-12-10 |