| NPI | 1265045728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: OH 70.000617) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-02-21 |