| NPI | 1003377896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: TX V9689) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX V9689) |
| 208000000X Pediatrics (Licence: TX V9689) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-09-29 |