Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 461855595 |
NPI | 1760815674 |
---|---|
Provider Name | Victor Novas |
First Address | Coral Gables, FL 33134-1446 |
Second Address | Coral Gables, FL 33134-1446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2013 |
Last Update Date | 14/08/2013 |