| NPI | 1558320762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 216677) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 216677) |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: MA 216677) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 216677) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-01-15 |