Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | A80991 | CA |
NPI | 1174504013 |
---|---|
Provider Name | Dr. Alok K. Bose |
First Address | Napa, CA 94559-3574 |
Second Address | Fairfield, CA 94534-6874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 26/07/2012 |