| NPI | 1760406458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 304330) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: MS 15242) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX H4513) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-01-20 |