| NPI | 1467434472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 220874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 22084) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: CT 52054) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2013-06-26 |