Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD441985 | PA |
NPI | 1003060740 |
---|---|
Provider Name | Christian Lima |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15215-3247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2008 |
Last Update Date | 25/03/2021 |