| NPI | 1437151453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: OH 35.083628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.083628) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2023-10-12 |