Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A126488 | CA |
NPI | 1124303011 |
---|---|
Provider Name | Nunzio Bottini |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-2030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2011 |
Last Update Date | 17/08/2017 |