| NPI | 1831170794 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101257627)  | 
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: VA 0101257627)  | 
| Enumeration Date | 2005-11-08 | 
| Last Update Date | 2017-03-28 |