| NPI | 1891376232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35150091) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35150091) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2025-05-19 |