| NPI | 1831455344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.126671) |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine (Licence: OH 35.126671) |
| 208000000X Pediatrics (Licence: OH 35.126671) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2016-07-08 |