Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A141893 | CA |
NPI | 1003158213 |
---|---|
Provider Name | Dr. Christopher Rafie |
First Address | Emeryville, CA 94608-1844 |
Second Address | New York, NY 10065-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 11/02/2022 |