Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | ME50169 | FL |
NPI | 1144986605 |
---|---|
Provider Name | Miguel-Antonio Trujijo |
First Address | Miami, FL 33125-4163 |
Second Address | Miami, FL 33125-4163 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2021 |
Last Update Date | 09/11/2021 |