| NPI | 1851889232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: TX T1590) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10063724) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-07-29 |