| NPI | 1689700791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 34.010115) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.010115) |
| 208000000X Pediatrics (Licence: OH 34.010115) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2023-07-20 |