| NPI | 1013413814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: VA 0101278005) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: MD D0097288) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-10-10 |