Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 15613R | LA |
NPI | 1366701666 |
---|---|
Provider Name | Dr. Barbel Angelika Rath |
First Address | Berlin, BERLIN 10437 |
Second Address | Berlin, BERLIN 13353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2012 |
Last Update Date | 08/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07660 | (05) | LA |