| NPI | 1871854141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NY 004020) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 004020) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2013-08-21 |