NPI | 1285920579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MD D0045118) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0045118) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2011-06-24 |