| NPI | 1770664765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: MD D0083156) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D0083156) |
| 208M00000X Hospitalist (Licence: MD D0083156) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-09-03 |