| NPI | 1467443721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35091635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01057779A) |
| 208M00000X Hospitalist (Licence: OH 35091635) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-07-30 |