| NPI | 1184698516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD13956) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: TN 27344) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-07-21 |