| NPI | 1215957345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35-064239) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-064239) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-064239) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-07-06 |