| NPI | 1972537405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: KY 46106) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: ME 014889) |
| 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: AZ 41170) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-08-05 |