| NPI | 1740577634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 69347) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125060590) |
| 207R00000X Internal Medicine (Licence: IL 125060590) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WI 69347) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2024-03-04 |