| NPI | 1629040605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G76627) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 181863) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX F9219) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-08 |