Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | G277481 | CA |
NPI | 1023191459 |
---|---|
Provider Name | Michael Ein |
First Address | Concord, CA 94519-2820 |
Second Address | Concord, CA 94519-2820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2006 |
Last Update Date | 21/03/2017 |