| NPI | 1538788229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.147362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.147362) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-05-16 |