Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | A143895 | CA |
NPI | 1265821011 |
---|---|
Provider Name | Brian Han |
First Address | Chicago, IL 60611-3448 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2015 |
Last Update Date | 29/07/2019 |