NPI | 1427018274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: LA MD.014531) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 14531) |
208000000X Pediatrics (Licence: LA MD014531) | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2021-04-27 |