| NPI | 1093177784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 34.013750) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.013750) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.013750) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-07-16 |