| NPI | 1649290545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-14631) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: MT 3863) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-09-11 |