Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G77830 | CA |
NPI | 1528403797 |
---|---|
Provider Name | Warner C. Greene |
First Address | San Francisco, CA 94158-2261 |
Second Address | San Francisco, CA 94158-2261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2013 |
Last Update Date | 01/05/2013 |