| NPI | 1134706096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.151452) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.151452) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-08-05 |