| NPI | 1275516361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA C54974) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CT 042757) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: CA C54974) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2025-04-15 |