| NPI | 1740397538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 56412) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA MD60002583) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60002583) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-09-11 |