| NPI | 1396768651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25ma05069200) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-11-20 |