| NPI | 1790987477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2021-01645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME99518) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: FL ME99518) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME99518) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-07-14 |