NPI | 1871829648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI L1436933) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI L1436933) |
Enumeration Date | 2009-10-28 |
Last Update Date | 2009-10-28 |