| NPI | 1477865533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.132130) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD447843) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2022-07-21 |