| NPI | 1447300504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A35818) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: CA A358189) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-02-02 |