NPI | 1134199946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G73118) |
Additional Taxonomies | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: CA G73118) |
208000000X Pediatrics (Licence: CA G73118) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2015-01-09 |