| NPI | 1588976864 |
|---|---|
| Former Name | CHARLES CHRISTIAN SNIDER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: MS 22788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2375) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2018-10-03 |