| NPI | 1548766835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: ID M-17623) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: WI 77233) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: WA MD61145727) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-05-19 |