| NPI | 1619367935 | 
|---|---|
| Former Name | ANDREW STEVEN KERN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.144705)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 287101)  | 
| Enumeration Date | 2015-01-24 | 
| Last Update Date | 2022-08-01 |