| NPI | 1497576565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: PA GC001021) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: NJ 25MJ00061700) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-31 |