| NPI | 1972996130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: OH 35.131023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5315055261) |
| 208000000X Pediatrics (Licence: OH 35.131023) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 5315055261) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-10-13 |