| NPI | 1124137476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35-034111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-034111) |
| 207L00000X Anesthesiology (Licence: OH 35-034111) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35-034111) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-07-05 |