| NPI | 1861582363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: KY 53701) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: KY TP967) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AR E-4535) | |
| 208000000X Pediatrics (Licence: AR E-4535) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-08-10 |