| NPI | 1760496178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD067656L) |
| Additional Taxonomies | 207SC0300X Medical Genetics Clinical Cytogenetics (Licence: PA MD067656L) |
| 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: PA MD067656L) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |