| NPI | 1336264373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: OR MD153157) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: CA A46201) |
| 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: OR MD153157) | |
| 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: CO 39144) | |
| 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: CO 39144) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-04-11 |