| NPI | 1215983382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA069676) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NJ MA069676) |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: NJ MA069676) | |
| 208000000X Pediatrics (Licence: NJ MA069676) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |