Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC 28558 | CA |
NPI | 1952549057 |
---|---|
Provider Name | Dr. Eli Bentabou |
First Address | Pleasanton, CA 94566-4749 |
Second Address | Pleasanton, CA 94566-4749 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 27/01/2009 |