NPI | 1376572107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: OH 35-082466) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35082466) |
2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: OH 35082466) | |
207R00000X Internal Medicine (Licence: OH 35-082466) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2022-02-14 |