| NPI | 1225328396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.123046) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123046) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-12-30 |