| NPI | 1003070293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: WA MD60275601) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60275601) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD60275601) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2014-04-16 |