| NPI | 1083642565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 88568) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA MD.11827R) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 88568) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-12-06 |