| NPI | 1609211390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: CA DRN64) |
| Additional Taxonomies | 207SC0300X Medical Genetics, Clinical Cytogenetic (Licence: CA MTO653) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |