NPI | 1831135276 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 239952) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 239952) |
2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: NY 239952) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2021-12-20 |