| NPI | 1417211210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: NE 28431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 28431) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NE 28431) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2025-11-11 |