| NPI | 1336325299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35082210) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.082210) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2024-08-16 |