| NPI | 1568513075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: TN 41991) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: MI 4301087799) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2022-08-01 |