| NPI | 1255862827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.135029) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.135029) |
| 208M00000X Hospitalist (Licence: OH 35.135029) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-05-19 |