| NPI | 1083906598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5603) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: TX R5603) |
| 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: TX R5603) | |
| 208000000X Pediatrics (Licence: TX R5603) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2022-10-04 |