Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | G61947 | CA |
Y | 207RP1001X | Pulmonary Disease | G61947 | CA |
N | 207RS0012X | Sleep Medicine | G61947 | CA |
NPI | 1104897800 |
---|---|
Provider Name | Dr. David A. Bradshaw |
First Address | San Diego, CA 92134-1098 |
Second Address | San Diego, CA 92134-1098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 27/02/2014 |