Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | A81885 | CA |
N | 2080P0204X | Pediatric Emergency Doctor | A81885 | CA |
NPI | 1134261134 |
---|---|
Provider Name | Kevin Haug |
First Address | Sacramento, CA 95819-1932 |
Second Address | Sacramento, CA 95817-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 04/01/2022 |