| NPI | 1154317741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD482821) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CT 35544) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 191964) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: PA MD482821) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2023-10-17 |