| NPI | 1699035030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: KY TP230) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01079354A) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IN 01079354A) | |
| 208000000X Pediatrics (Licence: MD P27658) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2026-07-24 |