| NPI | 1790807675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics Sleep Medicine (Licence: OH 35.076143) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WV 28846) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: FL ME120102) | |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: OK 26020) | |
| 208M00000X Hospitalist (Licence: OH 35-076143) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-10-10 |