| NPI | 1871267542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: WA GP61222435) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: MN .) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-10-29 |