| NPI | 1811524101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.153339) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.153339) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: OH 35.153339) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-07-09 |