| NPI | 1417987736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 72867-20) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101265758) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: VA 0101265758) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-11-06 |