Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | G31196 | CA |
N | 207ND0900X | Dermatopathologist | G31196 | CA |
N | 207NP0225X | Pediatric Dermatologist | G31196 | CA |
N | 207NS0135X | Procedural Dermatology | G31196 | CA |
NPI | 1285739532 |
---|---|
Provider Name | William G Littman |
First Address | Oakland, CA 94609 |
Second Address | Oakland, CA 94609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 14/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C36020 | (02) |