| NPI | 1497746432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35064699) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-064699) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-02-22 |