| NPI | 1568622397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 254147) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: NY 254147) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: NY 254147) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2021-05-25 |