| NPI | 1508862400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.090010) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.090010) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-04-09 |