| NPI | 1013109594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-00193) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NC 2009-00193) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD428622) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2022-01-27 |