| NPI | 1700066651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: DC MD035641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD035641) |
| 208000000X Pediatrics (Licence: NY 235819) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 235819) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2010-06-10 |