NPI | 1629033253 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME0056942) |
Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: FL ME0056942) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2007-07-11 |