| NPI | 1235230566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A76006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A76006) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A76006) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-04-10 |