| NPI | 1366433930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 8983) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: SC 8983) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2018-11-26 |