| NPI | 1811997257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: NY 214805) |
| Additional Taxonomies | 2080S0012X Pediatrics Sleep Medicine (Licence: NY 214805) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2021-10-19 |