| 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 |