| NPI | 1861445512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WI 42007) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: WI 42007) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-01-11 |