NPI | 1790723880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301062347) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301062347) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2017-03-29 |