| NPI | 1023681210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: TX 2019253) |
| Additional Taxonomies | 207SC0300X Medical Genetics Clinical Cytogenetics (Licence: TX 2019252) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |