| NPI | 1558524744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.082361) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OH 35.082361) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.082361) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2026-05-06 |