Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1538549423 |
---|---|
Provider Name | Dr. Dayana Davidou |
First Address | Brookline, MA 02445-7978 |
Second Address | Brookline, MA 02446-3885 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2015 |
Last Update Date | 04/06/2015 |