| NPI | 1407907058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 35-082333) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: IL 036-111185) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 35082333) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-10-01 |