| NPI | 1184050718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301099067) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 4301099067) |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: MI 4301099067) | |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2013-09-14 |