| NPI | 1023647062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0205X Medical Genetics, Ph.D. Medical Genetics (Licence: OR MD220000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-08-09 |