| NPI | 1518908268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NJ 25MA06400400) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: NJ 25MA06400400) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |