| NPI | 1710063474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NC 2014-02526) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: VA 0101047035) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-06-25 |