| NPI | 1285650150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CO 0059942) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35-074339) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-05-30 |