| NPI | 1528074341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NY 2487736) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-12-06 |