Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A78789 | CA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | A78789 | CA |
NPI | 1003868746 |
---|---|
Provider Name | Antoine Soliman |
First Address | Orange, CA 92868-3835 |
Second Address | Orange, CA 92868-3835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 21/08/2007 |