| NPI | 1407808793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: NE 17658) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NE 17658) |
| 207K00000X Allergy & Immunology (Licence: NE 17658) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |