| NPI | 1558773457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: NE 1438) |
| Additional Taxonomies | 207SC0300X Medical Genetics Clinical Cytogenetics (Licence: NE 1438) |
| 207SG0203X Medical Genetics Clinical Molecular Genetics (Licence: NE 1438) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2021-11-15 |