NPI | 1922322817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 257825) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 257825) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 257825) | |
2080S0012X Pediatrics, Sleep Medicine (Licence: NY 257825) | |
Enumeration Date | 2010-03-21 |
Last Update Date | 2019-03-04 |