| NPI | 1558316992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35081819) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35081819T) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-06-16 |