| NPI | 1699781203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G77866) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: CA G77866) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-12-20 |