| NPI | 1467029173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MO 2023006365) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023006365) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-09-30 |