| NPI | 1538387865 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX F6669) | 
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: TX F6669) | 
| 208000000X Pediatrics (Licence: TX F6669) | |
| Enumeration Date | 2007-04-23 | 
| Last Update Date | 2019-11-11 |