@extends('layouts.pro')
@section('content')
<h1>Create pro</h1>
<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">
            <label class="control-label">isHcp</label>
            <input name="isHcp" type="checkbox" class="form-control">
        </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>Submit</button>
        </div>
    </form>
</div>
@endsection