| NPI | 1265643787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D73065) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D73065) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-12-10 |