| NPI | 1538537865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35.138860) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.138860) |
| 208M00000X Hospitalist (Licence: OH 35.138860) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-04-26 |