| NPI | 1932351137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NJ 25MA08459400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08459400) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2020-02-13 |