| NPI | 1740264381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G475510) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G475510) |
| 207SG0205X Medical Genetics, Ph.D. Medical Genetics (Licence: CA G475510) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-07-08 |