| NPI | 1518926690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD492023C) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: FL ME64460) |
| 208000000X Pediatrics (Licence: FL ME64460) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA 207SG0201X) | |
| Enumeration Date | 2006-03-19 |
| Last Update Date | 2025-10-03 |