| NPI | 1083829220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: FL ME140868) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 16740) |
| 208000000X Pediatrics (Licence: FL ME140868) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: PR 16740) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-03-24 |