| NPI | 1871228171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MI 7201000489) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-01-29 |