| NPI | 1730276247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 2128611) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35C001716) |
| 208M00000X Hospitalist (Licence: OH 35C001716) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-08-01 |