| NPI | 1669901450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.141450) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.141450) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-10-23 |