| NPI | 1700413853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NC 2025-03732) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2025-03732) |
| 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: NC 2025-03732) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-02-10 |