Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A71979 | CA |
N | 2080P0207X | Pediatric Hematology-Oncologist | A71979 | CA |
NPI | 1124124938 |
---|---|
Provider Name | Dr. Benjamin S. Braun |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94143-2202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A719790 | (05) | CA |
I00230 | (02) | CA |