| NPI | 1154450328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35-090283) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-090283) |
| 208000000X Pediatrics (Licence: OH 35-090283) | |
| 208000000X Pediatrics (Licence: PA MT182446) | |
| 208000000X Pediatrics (Licence: OH 35090283) | |
| 207L00000X Anesthesiology (Licence: OH 35-090283) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-08-11 |