| NPI | 1861827339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.014788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 02005600A) |
| 208000000X Pediatrics (Licence: OH 34.014788) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2023-10-13 |