| NPI | 1740242171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: VT 042-0010267) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0010267) |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: VT 042-0010267) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2017-01-26 |