NPI | 1316137060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CT 046663) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 046663) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2022-09-20 |