| NPI | 1629599493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 338441) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036160394) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 338441) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 338441) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-08-11 |