| NPI | 1740276302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 197230) |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 197230) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 197230) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-01-23 |