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 |