| NPI | 1851353718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NC 2014-00196) |
| Additional Taxonomies | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: NC 999999) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 2014-00196) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NC 2014-00196) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-11-06 |