| NPI | 1891181707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AR E-12788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-12788) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AR E-12788) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-07-09 |