| NPI | 1669401170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD049515L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD049515L) |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: PA MD049515L) | |
| 207R00000X Internal Medicine (Licence: PA MD049515L) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-10-29 |