| NPI | 1588239834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: KS 04-51436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-51436) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-08-01 |