| NPI | 1699715102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 322666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 57188) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MS 17092) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN 57188) | |
| 207SG0202X Medical Genetics, Clinical Biochemical Genetics (Licence: TN 57188) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-06-08 |