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 |