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 |