| NPI | 1336408244 |
|---|---|
| Former Name | NATHANIEL DAVID HERR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 298090) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 59196) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2021-02-23 |