Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G38065 | CA |
N | 111NI0900X | Internist | G38065 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | G38065 | CA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | G38065 | CA |
N | 207RC0200X | Critical Care Medicine | G38065 | CA |
NPI | 1235104456 |
---|---|
Provider Name | Dr. Joseph Braufman Stein |
First Address | San Diego, CA 92103-2184 |
Second Address | San Diego, CA 92103-2184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A89651 | (02) | CA |