Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | F343 | CA |
NPI | 1003205097 |
---|---|
Provider Name | Pratap Mukherjee |
First Address | San Francisco, CA 94143-0118 |
Second Address | San Francisco, CA 94143-0118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2015 |
Last Update Date | 14/01/2015 |