| NPI | 1437509155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX UO819) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301110482) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-12-05 |