NPI | 1558383570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: LA MD.013441) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 013441) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2013-04-03 |