Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 174837 | CA |
Y | 213ES0000X | Sports Medicine | 174837 | CA |
N | 2081S0010X | Sports Medicine | ME116759 | FL |
N | 213ES0000X | Sports Medicine | ME116759 | FL |
NPI | 1245499060 |
---|---|
Provider Name | Dr. Daniel C Herman |
First Address | Sacramento, CA 95817-0001 |
Second Address | Sacramento, CA 95816-3384 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 28/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009092700 | (05) | FL |