| NPI | 1801278999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NE 33787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125067485) |
| 208000000X Pediatrics (Licence: NE 33787) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-10-25 |