| NPI | 1093774804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NJ 25MA11058100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 238087) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 238087) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2021-07-23 |