NPI | 1568433274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A055188) |
Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: CA A055188) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2010-11-16 |