| NPI | 1184620411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: CA G31441) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G31441) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-03-17 |