| NPI | 1609525146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35.156446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.156446) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2026-06-07 |