| NPI | 1578032611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MI 7201000107) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-12-19 |