Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 34178 | VA |
NPI | 1427215854 |
---|---|
Provider Name | Dr. Richard Paul Giannotto |
First Address | Mc Lean, VA 22102-0645 |
Second Address | Mc Lean, VA 22102-3810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 22/05/2008 |