NPI | 1861731564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101256697) |
Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: WA MD60820943) |
Enumeration Date | 2013-01-31 |
Last Update Date | 2024-08-22 |