| NPI | 1740748573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: PA MD073490L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD073490L) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |