NPI | 1982921086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080S0012X Pediatrics Sleep Medicine (Licence: FL ME136968) |
Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME136968) |
2080P0214X Pediatrics Pediatric Pulmonology (Licence: FL ME136968) | |
Enumeration Date | 2010-04-28 |
Last Update Date | 2021-11-22 |