Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 5301502879 | MI |
NPI | 1245509843 |
---|---|
Provider Name | Dr. Joselito Sanchez |
First Address | Elmhurst, NY 11373-1329 |
Second Address | Detroit, MI 48201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2011 |
Last Update Date | 18/05/2021 |