Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | G23959 | CA |
NPI | 1053645671 |
---|---|
Provider Name | Dr. Michael Edwin Kalafer |
First Address | San Diego, CA 92106-2674 |
Second Address | Coronado, CA 92118-1943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2009 |
Last Update Date | 01/02/2010 |