| NPI | 1770997843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: DC MD047443) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD047443) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: DC MD047443) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-11-07 |