Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1912412792 |
---|---|
Provider Name | Dr. Kirit Pindolia |
First Address | Canton, MI 48187-5466 |
Second Address | Canton, MI 48187-5466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2017 |
Last Update Date | 03/12/2017 |