Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | A22970 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | A22970 | CA |
N | 207NP0225X | Pediatric Dermatologist | A22970 | CA |
N | 207NS0135X | Procedural Dermatology | A22970 | CA |
NPI | 1477650901 |
---|---|
Provider Name | David A Paslin |
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 | 19/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A23335 | (02) |