| NPI | 1366864787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MN 1088) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2019-09-23 |