| NPI | 1467707570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: PR 21077) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 21077) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PR 21077) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CT 63210) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: CT 63210) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2019-11-25 |