| NPI | 1962815795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA A178815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064706) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD046294) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2024-09-16 |