| NPI | 1053422147 |
|---|---|
| Former Name | KEVIN GOTTLIEB KETTLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 20A8013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A8013) |
| 208000000X Pediatrics (Licence: CA 20A8013) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-04-12 |