| NPI | 1457575045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35121332) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35121332) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-09-24 |