NPI | 1851308308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD020130E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD020130E) |
208000000X Pediatrics (Licence: NJ 25MA03511800) | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA03511800) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2015-03-20 |