| NPI | 1548825086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 14282394-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301513863) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301513863) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2026-07-23 |