| NPI | 1689659880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.062607) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35062607M) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-08-26 |