| NPI | 1952359077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: LA MD207239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 23002) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: LA 207239) | |
| 208000000X Pediatrics (Licence: OK 23002) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AL 31521) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-03-25 |