| NPI | 1518048057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 4301034450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301034450) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-03-09 |