| NPI | 1679575310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: PR 5985) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 5985) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-07-08 |