Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G84202 | CA |
N | 2080P0208X | Pediatric Infectious Diseases | G84202 | CA |
NPI | 1518039130 |
---|---|
Provider Name | Victor Francois Nizet |
First Address | San Diego, CA 92123-4800 |
Second Address | La Jolla, CA 92093-5004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G842020 | (05) | CA |
G43399 | (02) | CA |