Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A130130 | CA |
N | 207ND0900X | Dermatopathologist | A130130 | CA |
NPI | 1386969608 |
---|---|
Provider Name | Brian Robert Hinds |
First Address | San Diego, CA 92122-1013 |
Second Address | San Diego, CA 92122-1013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 28/06/2016 |