| NPI | 1881199420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0070631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0070631) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CO DR.0070631) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-06-20 |