| NPI | 1215958954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35-057657) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-057675) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35-057675) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-06-08 |