| NPI | 1215018759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MI 4301049059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301049059) |
| 207RH0000X Internal Medicine Hematology (Licence: MI 4301049059) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-01-09 |