| NPI | 1326005810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: CO 29639) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TN 16312) |
| 208000000X Pediatrics (Licence: TN 16312) | |
| 207R00000X Internal Medicine (Licence: TN 16312) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: TN 16312) | |
| 208000000X Pediatrics (Licence: CO 29639) | |
| 207R00000X Internal Medicine (Licence: CO 29639) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CO 29639) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-04-17 |