| NPI | 1700170180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME118674) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A116424) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A116424) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME118674) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2022-07-14 |