| NPI | 1215915152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: FL 84664) |
| Additional Taxonomies | 2080S0012X Pediatrics Sleep Medicine (Licence: FL ME84664) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2011-02-01 |