NPI | 1285798330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OH 34-002434) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34-002434) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2013-10-24 |