| NPI | 1982090692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MD D0087738) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067676) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-08-05 |