| NPI | 1386604296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: CT 035237) |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CT 035237) |
| 208000000X Pediatrics (Licence: CT 035237) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-12-18 |