| NPI | 1922272350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 57.006941) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.006941) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 57.006941) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-09-12 |