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 |