| NPI | 1063466027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 26479) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G73873) |
| 208000000X Pediatrics (Licence: CA G73873) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OK 44070) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NV 26479) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35087252) | |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: OH 35087252) | |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: NV 26479) | |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: CA G73873) | |
| 208000000X Pediatrics (Licence: OH 35087252) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2026-08-17 |