| NPI | 1831155654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G36024) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G36024) |
| 208000000X Pediatrics (Licence: CA G36024) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA G36024) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA G36024) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA G36024) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: CA G36024) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-11-05 |