| NPI | 1932735867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.017078) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.017078) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-07-07 |