| NPI | 1588735005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 26620) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MN 26620) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-04-18 |