| 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 | 2023-09-19 |