| NPI | 1033370473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 40491) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301079654) |
| 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: AZ 40491) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2012-05-14 |