NPI | 1972681930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35083755) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35083755) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-07-17 |