Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.37324 | AL |
Y | 2080P0216X | Pediatric Rheumatologist | MD.37324 | AL |
NPI | 1073046009 |
---|---|
Provider Name | Daniel Reiff |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2017 |
Last Update Date | 22/07/2020 |