| NPI | 1609894930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 228148) |
| Additional Taxonomies | 207YS0012X Otolaryngology, Sleep Medicine (Licence: NY 228148) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: NY 228148) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-03-07 |