| NPI | 1467018697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: PA OGC000034) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: CT 255) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-09-21 |