| NPI | 1164432829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MO R7H69) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R7H69) |
| 2080S0012X Pediatrics Sleep Medicine (Licence: MO R7H69) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-11-15 |