| NPI | 1578683553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35-084615) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01064070) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01064070) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OH 35084615) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2013-10-31 |