NPI | 1518926690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: FL ME64460) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME64460) |
Enumeration Date | 2006-03-19 |
Last Update Date | 2023-02-16 |