| NPI | 1245572684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OR MD209666) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NE 29551) |
| 208000000X Pediatrics (Licence: OR MD209666) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: NE 29551) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: OR MD209666) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-12-29 |