| NPI | 1952501439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MT 1250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 1250) |
| 207Q00000X Family Medicine (Licence: MT 12510) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MT 12510) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-12-03 |