| NPI | 1568414746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 120678) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 120678) |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: NY 120678) | |
| 208000000X Pediatrics (Licence: NY 120678) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 120678) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-05-08 |