| 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 |