| NPI | 1710945688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX H5991) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H5991) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX H5991) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |