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 | 2010-06-30 |