| NPI | 1467405407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: UT 5400608-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 5400608-1205) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-01-07 |