| NPI | 1083126494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WI 75028-20) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: ZZ 73357) |
| 208000000X Pediatrics (Licence: ZZ 73357) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2021-06-08 |