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 |