| NPI | 1619056181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OR MD162096) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 5312728-1205) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-31 |