| NPI | 1184023939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: WA GT60629475) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: WA GP60482860) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2021-08-29 |