| NPI | 1699798603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: NM 89-257) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: LA 10120R) |
| 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: LA 10120R) | |
| 208000000X Pediatrics (Licence: LA 10120R) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-09-13 |