| NPI | 1699977918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: NY 241635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 241635) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-01-03 |