| NPI | 1376723619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: GA 74420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012772) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 57.012772) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AR E-7386) | |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2021-02-02 |