| NPI | 1891767307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NM 86-160) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: AZ 21245) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-07-06 |