Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G86356 | CA |
N | 2080P0207X | Pediatric Hematology-Oncologist | G86356 | CA |
NPI | 1043203946 |
---|---|
Provider Name | Daniel J Greenfield |
First Address | Santa Barbara, CA 93150-0706 |
Second Address | Santa Rosa, CA 95405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 01/02/2021 |