NPI | 1265797617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: PA MD462049) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012018921) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2024-03-04 |