| NPI | 1710165030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: MI 4301084161) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301084161) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: VA 0101250488) | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: VA 0101250488) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2021-12-13 |