Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | G38709 | CA |
NPI | 1033427505 |
---|---|
Provider Name | Dr. Michael Stoskopf Ascher |
First Address | Lafayette, CA 94549-2339 |
Second Address | Lafayette, CA 94549-2339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2010 |
Last Update Date | 18/09/2010 |