| NPI | 1245427889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX N2677) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N2677) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: TX N2677) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2018-09-14 |