| NPI | 1073586897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: VT 042-0013813) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OR MD20420) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: ID M8801) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-05-24 |