| NPI | 1538192281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics Sleep Medicine (Licence: VA 0101238030) |
| Additional Taxonomies | 2080S0012X Pediatrics Sleep Medicine (Licence: FL ME90919) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: FL ME90919) | |
| 2080S0012X Pediatrics Sleep Medicine (Licence: MD D0053614) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-09-16 |