Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301098757 | MI |
Y | 2080P0214X | Pediatric Pulmonologist | 4301098757 | MI |
N | 2080P0214X | Pediatric Pulmonologist | R14312 | ZZ |
NPI | 1659679934 |
---|---|
Provider Name | Thomas George Saba |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2011 |
Last Update Date | 24/06/2019 |