| NPI | 1750812350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301510003) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: WA ML60756800) |
| 208000000X Pediatrics (Licence: WA ML60756800) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-03-04 |