| NPI | 1093134595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX S5905) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: TX S5905) |
| 208000000X Pediatrics (Licence: TX S5905) | |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2023-12-13 |