Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 244915 | MA |
NPI | 1194030676 |
---|---|
Provider Name | Dr. Yuval Eliahu Landau |
First Address | Brookline, MA 02446-7155 |
Second Address | Brookline, MA 02446-7155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2010 |
Last Update Date | 09/08/2010 |