| NPI | 1831326495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: CO DR.0059150) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 1.051574) |
| 208000000X Pediatrics (Licence: TX P4665) | |
| 208000000X Pediatrics (Licence: OK 27301) | |
| 208000000X Pediatrics (Licence: AZ 47325) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2022-06-27 |