| NPI | 1992704019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: OH 35063294) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: OH 35063294) |
| 208000000X Pediatrics (Licence: OH 35063294) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35063294) | |
| 2080T0002X Pediatrics, Medical Toxicology (Licence: OH 35063294) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-02-22 |