| NPI | 1821475468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX T5915) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T5915) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2018-01770) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: TX T5915) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2024-07-02 |