| NPI | 1487691556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 35019) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: 35019-020) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-02-05 |