| NPI | 1831394675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: OH 35056118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35056118) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2010-10-25 |