Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | G86239 | CA |
NPI | 1053654467 |
---|---|
Provider Name | Dr. Pratik Multani |
First Address | San Diego, CA 92130-6819 |
Second Address | San Diego, CA 92130-6819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 20/03/2016 |