| NPI | 1124118971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 7688) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: TN MD7688) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-12-18 |