| NPI | 1447930466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: WA GP61441976) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: VA 0140000038) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-11-29 |