NPI | 1801459284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35.147756) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.248290) |
Enumeration Date | 2019-04-21 |
Last Update Date | 2024-11-19 |