| NPI | 1063032688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0207X (Licence: WI 81832-21) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: WI 81832-21) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-08-07 |