| NPI | 1306883376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: VA 0101240720) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101240720) |
| 208000000X Pediatrics (Licence: SC 23050) | |
| 208000000X Pediatrics (Licence: VA 0101240720) | |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: VA 0101240720) | |
| 2080S0012X Pediatrics Sleep Medicine (Licence: VA 0101240720) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: VA 0101240720) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-01-01 |