| NPI | 1992881916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: MI 4301062053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301062053) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-04-19 |