NPI | 1104917483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: DE C10002824) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10002824) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2011-09-03 |