| NPI | 1881866432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.127807) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.127807) |
| 208000000X Pediatrics (Licence: NY 258675) | |
| 207R00000X Internal Medicine (Licence: NY 258675) | |
| 207RH0000X Internal Medicine, Hematology (Licence: OH 127807) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 127807) | |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2023-12-11 |