| NPI | 1467719500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 286166) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NY 286166) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2019-05-24 |