| NPI | 1932514478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 28319) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 58319) |
| 208000000X Pediatrics (Licence: GA 6884) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: GA 6884) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-08-21 |