NPI | 1902827587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 34-003296) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-003296) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2015-04-28 |