| NPI | 1790922961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: SC 39851) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME107705) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2016-07-21 |