NPI | 1184620411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G31441) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G31441) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2018-03-17 |