| NPI | 1396820619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 126468) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 126468) |
| 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: NY 126468) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-04-07 |