| NPI | 1972534485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MO R6801) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R6801) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NM MD2015-0889) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-01-04 |