NPI | 1174755615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ND 13176) |
Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: ND PT 13176) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2022-03-28 |