| NPI | 1376379396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: IL 246.000838) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: WI 1442-61) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2025-11-20 |