| NPI | 1285139170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: CA 174662A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29219) |
| 207R00000X Internal Medicine (Licence: MN 66118) | |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2023-09-16 |