| NPI | 1235755711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MN 1554) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| 170300000X Genetic Counselor, MS (Licence: IN 74000444A) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-11-02 |