| NPI | 1679589469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD017296E) |
| Additional Taxonomies | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: PA MD017296E) |
| 208000000X Pediatrics (Licence: PA MD017296E) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA MD017296E) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-04-19 |