| NPI | 1669821781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35.150328) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.150328) |
| 208000000X Pediatrics (Licence: SC LL39575) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-11-19 |