| NPI | 1104917483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: DE C10002824) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10002824) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-09-03 |