| NPI | 1790708451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: IA 21379) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: IA 21379) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: IA 21379) | |
| 2080S0012X Pediatrics Sleep Medicine (Licence: IA 21379) | |
| 207K00000X Allergy & Immunology (Licence: IA 21379) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-03-26 |