| NPI | 1033320783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: TX M9768) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.201701) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-02-02 |