| NPI | 1699113803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35140352) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35140352) |
| 208000000X Pediatrics (Licence: OH 35140352) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35140352) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2022-06-30 |