| NPI | 1174542617 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD055968L) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD055968L) | 
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: PA MD055968L) | |
| 207SG0205X Medical Genetics, Ph.D. Medical Genetics (Licence: PA MD055968L) | |
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2015-03-16 |