| NPI | 1568433274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A055188) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: CA A055188) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2010-11-16 |