| NPI | 1548216344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MD D60660) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ MA53840) |
| 208000000X Pediatrics (Licence: MD D60660) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-03-03 |