| NPI | 1689651044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WI 31065) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 44001) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 31065) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 44001) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-03-15 |