| NPI | 1639129752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: WA MD00046193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00046193) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD00046193) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-04-15 |