| NPI | 1659586352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MS 31957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187544) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: DE C1-0013700) | |
| 207R00000X Internal Medicine (Licence: DE C1-0013700) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CT 046150) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2026-03-10 |