| NPI | 1871786756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME161910) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: FL ME161910) |
| 208000000X Pediatrics (Licence: FL ME161910) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-08-02 |