| NPI | 1194010777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.150093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021035999) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2021035999) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2024-06-14 |