| NPI | 1932223898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: MO 2007001620) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 97186) |
| 207Q00000X Family Medicine (Licence: MO NO. 2007001620) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: MO 2007001620) | |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2022-03-14 |