| NPI | 1922337211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME106015) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: FL ME106015) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2023-07-18 |