| NPI | 1942389515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: UT 168323-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 62980) |
| 208000000X Pediatrics (Licence: UT 168323-1205) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MT 62980) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: UT 168323-1205) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-10-27 |