NPI | 1144547423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX N6627) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX BP10028765) |
Enumeration Date | 2010-04-27 |
Last Update Date | 2022-01-28 |