| NPI | 1215929641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35081413) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.081413) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2022-02-04 |