| NPI | 1306188453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: WA MD60849359) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60849359) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-08-16 |