| NPI | 1720007644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35-076571) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35076571) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-09-29 |