| NPI | 1497891675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 2261341) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2261341) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |