| NPI | 1457398760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G47739) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G47739) |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: CA G47739) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-09 |