| NPI | 1336762749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: VA 0139000340) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-02-10 |