| NPI | 1043639347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35136219) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35136219) |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35136219) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35136219) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-02-15 |