| NPI | 1336371442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.146009) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301094703) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: UT 9623579) | |
| Enumeration Date | 2009-08-23 |
| Last Update Date | 2023-10-14 |