| NPI | 1891715009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A86656) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: CA A86656) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-09-21 |