| NPI | 1376658104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WY 7192A) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: WY 7192A) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-10-19 |