| NPI | 1841226024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD059456L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD059456L) |
| 208000000X Pediatrics (Licence: PA MD059456L) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2018-10-29 |