| NPI | 1013939545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 175341) |
| Additional Taxonomies | 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NY 175341) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 175341) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-07-19 |