| NPI | 1689756108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301051394) |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: MI 4301051394) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-02-23 |