| NPI | 1700874732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 44370) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 44370) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: MA 44370) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MA 44370) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2014-05-29 |