Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | ME145444 | FL |
NPI | 1033503172 |
---|---|
Provider Name | David James Dillon |
First Address | Boca Raton, FL 33486-1390 |
Second Address | Boca Raton, FL 33486-1390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 20/09/2021 |