| NPI | 1811934490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MO 106085) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO MD106085) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-01-15 |