Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A86413 | CA |
N | 208000000X | Pediatrician | A86413 | CA |
NPI | 1063617298 |
---|---|
Provider Name | Joseph Shieh |
First Address | San Francisco, CA 94143-2208 |
Second Address | San Francisco, CA 94143-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 18/08/2009 |