| NPI | 1053321679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: FL ME152778) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 4301058671) |
| 208000000X Pediatrics (Licence: MI 4301058671) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-04-04 |