| NPI | 1932581030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35147119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35147119) |
| 208000000X Pediatrics (Licence: IN 01080571A) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-08-30 |