NPI | 1699977918 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: NY 241635) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 241635) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2013-01-03 |