| NPI | 1831625565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX S5664) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: TX S5664) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-04-19 |