| NPI | 1154378065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: CT 044185) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 044185) |
| 208000000X Pediatrics (Licence: CT 044185) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2014-01-21 |