Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A54926 | CA |
NPI | 1003918509 |
---|---|
Provider Name | Dr. Chris Dragos Tataru |
First Address | Santa Rosa, CA 95405-7525 |
Second Address | Atherton, CA 94027-3802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2006 |
Last Update Date | 26/02/2021 |