NPI | 1841434537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: IA 38637) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA 38637) |
208000000X Pediatrics (Licence: TX N2800) | |
Enumeration Date | 2009-04-24 |
Last Update Date | 2010-02-09 |