| NPI | 1609033208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: VA 0101254769) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: DC MD036525) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2013-12-27 |