| NPI | 1437201100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35082407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35082407) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35082407) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35082407) | |
| 208000000X Pediatrics (Licence: OH 35082407) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-09-10 |