| NPI | 1164926051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NY 322902) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-08-14 |