| NPI | 1609193622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: UT 9097278-1205) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD00048675) |
| 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: WA MD00048675) | |
| 208000000X Pediatrics (Licence: UT 9097278-1205) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2022-07-27 |