Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 2011080 | VA |
N | 170100000X | Medical Geneticist | 2011081 | VA |
NPI | 1902160310 |
---|---|
Provider Name | Dongli Huang |
First Address | Chantilly, VA 20151-2228 |
Second Address | Chantilly, VA 20151-2228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2012 |
Last Update Date | 29/06/2012 |