| NPI | 1023103652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OR or md08690) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA wa md00013839) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA g21401) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-16 |