| NPI | 1669408696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MN 70147) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 151239) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 151239) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: RI MD11065) | |
| 2084N0600X (Licence: RI MD11065) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CT 64335) | |
| 2084N0600X (Licence: NY 151239) | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: RI MD11065) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-03-11 |