| NPI | 1760487177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0026615) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: FL ME26615) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2014-07-14 |