| NPI | 1518037647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NY 226213) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-04-02 |