NPI | 1871291112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: MI 7201000362) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: CT 351) |
170300000X Genetic Counselor, MS (Licence: FL 348) | |
170300000X Genetic Counselor, MS (Licence: MT GEN-GEN-LIC-000467) | |
Enumeration Date | 2023-02-16 |
Last Update Date | 2023-02-16 |