Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 000000G75548 | CA |
NPI | 1508946641 |
---|---|
Provider Name | Sherif G S Emil |
First Address | Los Angeles, CA 90051-0347 |
Second Address | Orange, CA 92868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 26/02/2008 |