| NPI | 1770547366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: GA 032655) |
| Additional Taxonomies | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: GA 032655) |
| 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: GA 032655) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 032655) | |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities (Licence: GA 032655) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |