Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 2009029 |
NPI | 1801493689 |
---|---|
Provider Name | Zunyan Dai |
First Address | Johns Creek, GA 30022-7453 |
Second Address | Johns Creek, GA 30022-7453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2020 |
Last Update Date | 20/08/2021 |