| NPI | 1811935323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 321107) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MS 17448) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NE 30159) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-05-18 |