| NPI | 1316280498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 34.012846) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036140733) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-07-21 |