| NPI | 1699831149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: TN 18483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 36642) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KY 36642) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: KY 36642) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: KY 36642) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-02-08 |