| NPI | 1144498429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CT 64043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M8059) |
| 208000000X Pediatrics (Licence: NC 2008-01588) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2019-09-18 |