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 |