NPI | 1306007422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.094933) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35094933) |
208000000X Pediatrics (Licence: OH 35.094933) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35094933) | |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 35.094933) | |
Enumeration Date | 2008-06-20 |
Last Update Date | 2025-06-13 |