| NPI | 1497103188 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 274755) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274755) | 
| Enumeration Date | 2016-06-02 | 
| Last Update Date | 2025-04-08 |