| NPI | 1851352678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: CA C53870) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX M2070) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA C53870) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: CA C53870) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: TX M2070) | |
| 208000000X Pediatrics (Licence: CA C53870) | |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: TX M2070) | |
| 2080S0012X Pediatrics Sleep Medicine (Licence: CA C53870) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-09-12 |