| NPI | 1417110529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35-131897) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-131897) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: OH 35-131897) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-02-14 |