Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 47496-020 | WI |
NPI | 1174759179 |
---|---|
Provider Name | Dr. Pranoot Tanpaiboon |
First Address | Washington, DC 20010-2916 |
Second Address | Muang, CHIANG MAI 50200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2009 |
Last Update Date | 03/09/2009 |