| NPI | 1710930458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NY 288290) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WI 31169) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: WI 31169) | |
| 2080S0012X Pediatrics Sleep Medicine (Licence: NY 288290) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-07-21 |