Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G26798 | CA |
NPI | 1003903519 |
---|---|
Provider Name | William Bernard Solomon |
First Address | San Francisco, CA 94114-1027 |
Second Address | San Francisco, CA 94114-1027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 14/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G267980 | (05) | CA |
A43102 | (02) |