| NPI | 1679596373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 29198) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 29198) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-08-27 |