| NPI | 1972699205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA04801800) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-02-11 |