| NPI | 1740694884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G69569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G69569) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-05-07 |