| NPI | 1013302405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036160487) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KY 52703) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-05-31 |