| NPI | 1487641437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: UT 170113-1205) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: UT 170113-1205) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 170113-1205) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-07-03 |