| NPI | 1932343316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA A122774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A122774) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A122774) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2023-03-29 |