| NPI | 1154515963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: CA A107303) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R8236) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2021-12-08 |