| NPI | 1558527762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 246672) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-051823) |
| 208000000X Pediatrics (Licence: MA 246672) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-12-24 |