| NPI | 1457414161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: SC 36225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 56369) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 214201) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-02-18 |