| NPI | 1346340080 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 43529) | 
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IL 036-154133) | 
| Enumeration Date | 2006-09-23 | 
| Last Update Date | 2021-07-01 |