| NPI | 1720608607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: 31176) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 31176) |
| 246ZG1000X Specialist/Technologist, Other, Geneticist, Medical (PhD) (Licence: 31176) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |