| NPI | 1396966735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: CA DRN2) |
| Additional Taxonomies | 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: NY 135000) |
| 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: CA DRNM10) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G040633) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CT 41719) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: FL ME80666) | |
| 208000000X Pediatrics (Licence: AZ 30741) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-08-10 |