| NPI | 1932193786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 33703) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 60724) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 33703) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: MN 33703) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-08-19 |