| NPI | 1457679706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 278183) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-07-21 |