| NPI | 1336370758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: WA MD60528251) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60528251) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD60528251) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2017-11-03 |