| NPI | 1366829152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-03526) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NC 2020-03526) |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: NC 2020-03526) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2023-12-18 |