Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | A100468 | CA |
NPI | 1225154727 |
---|---|
Provider Name | Dr. Soman Sen |
First Address | Sacramento, CA 95817-2215 |
Second Address | Sacramento, CA 95817-2215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 20/12/2011 |