| NPI | 1629571401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA ML60864398) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD61301079) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2025-08-20 |