NPI | 1649362070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN MD15808) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD15808) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2022-03-30 |