| NPI | 1083272314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 334270) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT217669) |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2025-03-18 |