NPI | 1396954699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: CO DR.0070638) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101243493) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2024-03-01 |