| NPI | 1740207331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 227877) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MA 227877) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-07-05 |