| NPI | 1992807655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD444648) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: UT 57601011205) |
| 208000000X Pediatrics (Licence: PA MD444648) | |
| 208000000X Pediatrics (Licence: UT 57601018905) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-12 |