| NPI | 1255991501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: NE 33424) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NE 33424) |
| 208000000X Pediatrics (Licence: NE 33424) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2026-04-15 |