Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | G61267 | CA |
NPI | 1275745879 |
---|---|
Provider Name | Robert Keith Naviaux |
First Address | San Diego, CA 92103-8467 |
Second Address | San Diego, CA 92103-8467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |