Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A130028 | CA |
NPI | 1053543165 |
---|---|
Provider Name | Gamil Fteeh |
First Address | Loma Linda, CA 92350-1700 |
Second Address | San Bernardino, CA 92408-3758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2009 |
Last Update Date | 29/11/2021 |