| NPI | 1659459444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AZ 56346) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G77284) |
| 208000000X Pediatrics (Licence: AZ 56346) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-07-31 |