| NPI | 1417514811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: NY CQP92933) |
| Additional Taxonomies | 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: NY CQP92933) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |