| NPI | 1427018274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: LA MD.014531) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 14531) |
| 208000000X Pediatrics (Licence: LA MD014531) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2021-04-27 |