| NPI | 1609003011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IA MD-42475) |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: IA MD-42475) |
| 208000000X Pediatrics (Licence: IA MD-42475) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2015-07-29 |