| NPI | 1023468733 |
|---|---|
| Other Name | S. NICK RUSSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R5931) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX R5931) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-10-30 |