| NPI | 1740703412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA A179309) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213955) |
| 208000000X Pediatrics (Licence: DE C7-0006610) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-02-20 |