| NPI | 1780850875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: SC 85926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000048176) |
| 208000000X Pediatrics (Licence: GA 76739) | |
| 208000000X Pediatrics (Licence: TN MD0000048176) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-10770) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: AR E-10770) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2021-07-26 |