Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A95664 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | A95664 | CA |
N | 2080P0216X | Pediatric Rheumatologist | MD431896 | PA |
NPI | 1023208261 |
---|---|
Provider Name | William Enrique Bernal |
First Address | San Francisco, CA 94118-1981 |
Second Address | San Francisco, CA 94143-2204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 27/02/2020 |