Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | G85198 | CA |
NPI | 1033102900 |
---|---|
Provider Name | Dr. Charles H Sohn |
First Address | Fresno, CA 93720-1545 |
Second Address | Fresno, CA 93720-1545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 18/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G851980 | (05) | CA |
F80856 | (02) | CA |