NPI | 1184658155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.073335) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.073335) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-06-07 |