| NPI | 1932620291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA11944100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 009657) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2026-01-29 |