NPI | 1730746165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MI 4301511387) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301511387) |
208000000X Pediatrics (Licence: MI 4351045072) | |
Enumeration Date | 2019-05-21 |
Last Update Date | 2025-09-23 |