| NPI | 1407857063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.070439) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35070439) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2023-10-10 |