| NPI | 1174512677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35081851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35081851) |
| 207L00000X Anesthesiology (Licence: OH 35-081851) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35-081851) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2013-10-09 |