Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | G68687 | CA |
NPI | 1053633149 |
---|---|
Provider Name | Dr. Tomas Javier Aragon |
First Address | San Francisco, CA 94102-4505 |
Second Address | San Francisco, CA 94102-4505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2010 |
Last Update Date | 26/12/2013 |