| NPI | 1144277211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA067803) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06780300) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-07-27 |