| NPI | 1760464184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 220911) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 220911) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: MA 220911) | |
| Enumeration Date | 2005-11-20 |
| Last Update Date | 2020-11-09 |