| NPI | 1972927325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.134950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.134950) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2018-09-21 |