| NPI | 1245594761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A135879) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A135879) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202838) | |
| 208000000X Pediatrics (Licence: CA A135879) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2024-04-16 |