| NPI | 1699352989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD M126811) |
| Additional Taxonomies | 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: MD M126811) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD 9207) | |
| 208000000X Pediatrics (Licence: MD M126811) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-07-07 |