| NPI | 1154527000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35092909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35092909) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-06-09 |