| NPI | 1164531927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME62593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME62593) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: FL ME62593) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-01-15 |