| NPI | 1538256979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A67403) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA A67403) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-11-27 |