| NPI | 1780029504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61684880) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IL 036.161935) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2025-06-11 |