| NPI | 1932474228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 262343) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: MA 262343) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-06-04 |