NPI | 1013337716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.013207) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.013207) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2023-10-11 |