| NPI | 1528187846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MN 44315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043981) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD00043981) | |
| 208000000X Pediatrics (Licence: MN 44315) | |
| 208000000X Pediatrics (Licence: WA MD00043981) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-13 |