| NPI | 1326139692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D0018098) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: VA 010137049) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101037049) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-07-03 |