| NPI | 1861572117 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IN 01078449A) | 
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX L6918) | 
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: IN 01078449A) | |
| 208000000X Pediatrics (Licence: TX L6918) | |
| Enumeration Date | 2006-10-17 | 
| Last Update Date | 2025-02-21 |