| NPI | 1396242954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-16579) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021022245) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: AR E-16579) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2023-08-09 |