| NPI | 1174827448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MN 80973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0104461) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D0104461) | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2026-04-29 |