| NPI | 1336582543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101264427) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: VA 0101264427) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101264427) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2025-01-15 |