| NPI | 1144271651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: MO 2016017549) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: KS 0439109) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IN 01064836) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-11-06 |