NPI | 1508838236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34008180W) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34008180W) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2022-02-14 |