| NPI | 1164637187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 36383) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA A92992) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2014-11-26 |