| NPI | 1720206022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: IN 01063158A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01063158A) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-03-04 |