@extends('layouts.pro-logged-in')
@section('content')
<div class="card">
    <div class="card-header">
        Create pro
    </div>
    <div class="card-body">
        <div moe>
            <form url="/api/pro/create" redir="/pros/show/" method="POST">
                <div class="form-group">
                    <label class="control-label">cellNumber</label>
                    <input type=cellNumber"text" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">emailAddress</label>
                    <input name="emailAddress" type="email" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">nameDisplay</label>
                    <input type="text" name="name.nameDisplay" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">namePrefix</label>
                    <input type="text" name="name.namePrefix" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">nameFirst</label>
                    <input type="text" name="name.nameFirst" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">nameMiddle</label>
                    <input type="text" name="name.nameMiddle" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">nameLast</label>
                    <input type="text" name="name.nameLast" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">nameSuffix</label>
                    <input type="text" name="name.nameSuffix" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">nameCredential</label>
                    <input type="text" name="name.nameCredential" class="form-control">
                </div>
                <div class="form-group">
                    <div class="checkbox">
                        <label class="control-label">isHcp</label>
                        <input name="isHcp" type="checkbox">
                    </div>
                </div>
                <div class="form-group">
                    <label class="control-label">hcpNpi</label>
                    <input name="hcpNpi" type="text" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">previousProfessionCategory</label>
                    <input name="previousProfessionCategory" type="text" class="form-control">
                </div>
                <div class="form-group">
                    <label class="control-label">currentProfessionCategory</label>
                    <input name="currentProfessionCategory" type="text" class="form-control">
                </div>
                <div class="form-group">
                    <button submit class="btn btn-primary">Submit</button>
                </div>
            </form>
        </div>
    </div>

</div>


@endsection
