| NPI | 1093219487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.151194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.151194) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.151194) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2025-02-17 |