| NPI | 1952696643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: AZ 52665) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-248367) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2016-10-10 |