| NPI | 1457672826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35.133911) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX Q7666) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2021-01-22 |