Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | D0020801 | MD |
NPI | 1730418963 |
---|---|
Provider Name | Dr. Rafael Daniel Camerini-Otero |
First Address | Bethesda, MD 20892-0538 |
Second Address | Bethesda, MD 20892-0538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2009 |
Last Update Date | 17/12/2009 |