| NPI | 1184066821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: IN 74000084A) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2022-06-30 |