| NPI | 1659369593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 017403) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: GA 17403) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2009-12-17 |