| NPI | 1861629172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TN 53440) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD444907) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: PA MD444907) | |
| 207Q00000X Family Medicine (Licence: TN 53440) | |
| 207Q00000X Family Medicine (Licence: AR E-7267) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AR E-7267) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2018-07-05 |