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 |