| NPI | 1093803918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WY 6452A) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: WY 6452a) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2021-10-20 |