| 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 |