| NPI | 1144203308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101235756) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-07-31 |