| NPI | 1083636443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX Q3695) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD066231L) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: PA MD066231L) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-11-28 |