| NPI | 1144241951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 37111) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: DC MD039865) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-02-05 |