Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | C133908 | CA |
N | 2086S0120X | Pediatric Surgery | MD101895 | MO |
NPI | 1114385440 |
---|---|
Provider Name | Dr. Jacob C Langer |
First Address | Toronto, ONTARIO M6C2G3 |
Second Address | Palo Alto, CA 94304-1503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2016 |
Last Update Date | 01/02/2016 |