| NPI | 1194176206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35.143252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268220) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2025-03-30 |