| NPI | 1689651218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MO 2009008661) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: KS 04-33676) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2025-12-06 |