| NPI | 1598751307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35083847) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35083847) |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35083847) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-04-23 |