| NPI | 1780054643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D0042376) |
| Additional Taxonomies | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: MD D0042376) |
| 208000000X Pediatrics (Licence: MD D0042376) | |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2015-10-04 |