| NPI | 1548293822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AZ 56355) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35-083650) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-07-10 |