| NPI | 1891958864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 5101026603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP60460227) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: IN 02003978A) | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: WA OP60460227) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2022-12-27 |