| NPI | 1447216403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: OH 35-064454) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35064454) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-11-15 |