| NPI | 1518452770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: PA MT224988) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018019143) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-06-22 |