Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | A40011 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A40011 | CA |
NPI | 1699700971 |
---|---|
Provider Name | Harbinder S Brar |
First Address | Riverside, CA 92506-3920 |
Second Address | Riverside, CA 92506-3920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 19/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A29022 | (02) | CA |