Doctor Name: | JONATHAN KILLIAN |
NPI Number: | 1417344367 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD |
License Number: | A90472 |
Business Practice Address: | Nih Nci 37 Convent Dr Rm 6138 Bethesda, MD - 208920001 |
Business Phone Number: | 3014960999 |
Business Fax Number: | |
Mailing Address: | Nih Nci 37 Convent Dr Rm 6138, BETHESDA |
State: | MD |
Postal Code: | 208920001 |
Phone Number: | 3014960999 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2015 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A90472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |