Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 20A17464 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | 20A17464 | CA |
NPI | 1336361070 |
---|---|
Provider Name | Thomas Edward Fisher |
First Address | San Francisco, CA 94109-0456 |
Second Address | Oakland, CA 94612-3725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 04/11/2019 |