| NPI | 1861486136 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD489581C) | 
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD489581C) | 
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 036055542) | |
| Enumeration Date | 2005-09-01 | 
| Last Update Date | 2025-07-24 |