| NPI | 1710197181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD431070) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35.120140) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 4301089374) | |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: PA MD431070) | |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: OH 35.120140) | |
| 208000000X Pediatrics (Licence: OH 35.120140) | |
| 208000000X Pediatrics (Licence: MI 4301089374) | |
| 208000000X Pediatrics (Licence: PA MD431070) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-01-30 |