| NPI | 1841233954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: GA 053817) |
| Additional Taxonomies | 207SG0202X Medical Genetics Clinical Biochemical Genetics (Licence: GA 053817) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |