| NPI | 1932499266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA09571600) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2016-06-20 |