| NPI | 1114534237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: IA MD-50428) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-50428) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2022-10-07 |