| NPI | 1295099620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 252295) |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: MD Certificate #2011182) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2014-06-02 |