| NPI | 1033351622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: CO 3122) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 3122) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2013-07-02 |