| NPI | 1841434537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IA 38637) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 38637) |
| 208000000X Pediatrics (Licence: TX N2800) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2010-02-09 |