| NPI | 1154336659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD18061) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: OR MD18061) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-12-28 |