| NPI | 1780926337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.125365) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35125365) |
| 208000000X Pediatrics (Licence: OH 35.125365) | |
| 208M00000X Hospitalist (Licence: OH 35125365) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-03-24 |