| NPI | 1447330873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN 54100) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX K3112) |
| 208000000X Pediatrics (Licence: TX K3112) | |
| 208000000X Pediatrics (Licence: TN 54100) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-04-13 |