| NPI | 1992723191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL ME117461) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 214097) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 214097) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 214097) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-01-13 |