| NPI | 1730574997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MA 282534) |
| Additional Taxonomies | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: MA 282534) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2021-09-07 |