| NPI | 1649213869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35080434) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35080434) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35080434) | |
| 208M00000X Hospitalist (Licence: OH 35080434) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-12-05 |