NPI | 1902259294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PR 35557) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 15282) |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036.172386) | |
208000000X Pediatrics (Licence: IL 036.172386) | |
Enumeration Date | 2016-07-21 |
Last Update Date | 2024-10-21 |