| NPI | 1093093239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics Sleep Medicine (Licence: MO 2015012744) |
| Additional Taxonomies | 2080S0012X Pediatrics Sleep Medicine (Licence: KS 04-37881) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2015-07-21 |