| NPI | 1306880711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D48261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D48261) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-03-19 |