NPI | 1770504656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.064617) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.064617) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2020-11-19 |