NPI | 1497246649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D0031283) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0031283) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2018-05-23 |