| NPI | 1255372876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: PA MD016803E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD016803E) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-11-20 |