| NPI | 1083681498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A16344) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA 20A16344) |
| 208000000X Pediatrics (Licence: CA 20A16344) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: CA 20A16344) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2018-11-07 |