Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 7921 | PR |
NPI | 1174537724 |
---|---|
Provider Name | Dr. Roberto Hans Hau |
First Address | Isabela, PR 00662-1399 |
Second Address | Isabela, PR 00662-2626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/07/2007 |