| NPI | 1225349236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35121357) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 43011112231) |
| 208000000X Pediatrics (Licence: OH 35.121357) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301112231) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.121357) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: MI 4301112231) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-11-03 |