| NPI | 1093892002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN MD32252) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TN MD32252) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-06-03 |