NPI | 1902253982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MI 4301514753) |
Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MT216004) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 4301514753) | |
208000000X Pediatrics (Licence: PA MT216004) | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2025-09-23 |