Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | C55861 | CA |
Y | 207RP1001X | Pulmonary Disease | C55861 | CA |
NPI | 1043473986 |
---|---|
Provider Name | Dr. Vijai Joseph Daniel |
First Address | Fresno, CA 93720-3359 |
Second Address | Fresno, CA 93720-3359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 11/01/2016 |