| NPI | 1699972182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U1686) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD442257) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-06-27 |