| NPI | 1811846629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: TX 4696) |
| Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics (Licence: TX 1252) |
| 170300000X Genetic Counselor, MS | |
| 207SG0207X Medical Genetics, Medical Biochemical Genetics (Licence: TX 1252) | |
| 174400000X Specialist (Licence: TX 10051488) | |
| 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: TX 10051488) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: TX 10051488) | |
| 133N00000X Nutritionist | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: TX 1252) | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-05-27 |