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 |