| NPI | 1659696540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CO 52022) |
| Additional Taxonomies | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: CO 52022) |
| 208000000X Pediatrics (Licence: CO 52022) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2023-03-07 |