| NPI | 1811901424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD071479L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD071479L) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD071479L) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA07198900) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-04-08 |