| NPI | 1821386178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX S5152) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NM 2016-0787) |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: NM 2016-0787) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: TX S5152) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2020-10-15 |