| NPI | 1942271960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NY 122537) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2007-07-08 |