| NPI | 1851889232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 67387) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: AZ 67387) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX T1590) | |
| 208000000X Pediatrics (Licence: TX BP10063724) | |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: AZ 67387) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: TX T1590) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2025-01-21 |