NPI | 1811221054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: OH 35.137166) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.137166) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2022-02-21 |