Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist |
NPI | 1174693501 |
---|---|
Provider Name | Dr. Shahe N Jierian |
First Address | Pasadena, CA 91107 |
Second Address | Pasadena, CA 91104-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |