| NPI | 1164683777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OR MD176442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD176442) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-02-05 |