NPI | 1114954906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D38909) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D38909) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2016-12-10 |