| NPI | 1457364077 |
|---|---|
| Other Name | MUTIGEN LLC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000035884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 35884) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-10-01 |