| NPI | 1235427345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: AZ 48789) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72754) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-03-24 |