| NPI | 1629086145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: OR MD22656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD22656) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-11 |