| NPI | 1972558096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35066100) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35066100) |
| 208M00000X Hospitalist (Licence: OH 35066100) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-09-06 |