| NPI | 1558521013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX P9944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P9944) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: TX P9944) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2022-04-11 |