| NPI | 1689870982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: MS 20353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 20353) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2016-05-12 |