| NPI | 1285703538 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 246ZG1000X Specialist/Technologist, Other, Geneticist, Medical (PhD) | 
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other | 
| Enumeration Date | 2006-11-08 | 
| Last Update Date | 2025-09-11 |