NPI | 1699977686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: MO 2016042899) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016042899) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2016042899) | |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TN 47526) | |
Enumeration Date | 2007-06-03 |
Last Update Date | 2021-03-11 |