| NPI | 1811303449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 60764) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: TN 60764) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 60764) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2024-01-10 |