| NPI | 1952398844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 7671) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2021-06-08 |