| NPI | 1215701677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 170300000X Genetic Counselor, MS |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: FL GC676) |
| 170300000X Genetic Counselor, MS (Licence: CT GC.000096) | |
| 170300000X Genetic Counselor, MS (Licence: NJ 25MJ00026000) | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |