Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | G11080 | CA |
N | 208600000X | Surgeon | G11080 | CA |
N | 2086S0105X | Surgery of the Hand | G11808 | CA |
NPI | 1770694622 |
---|---|
Provider Name | Dr. David K Subin |
First Address | San Diego, CA 92123-2762 |
Second Address | San Diego, CA 92123-2762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G118080 | (05) | CA |
A38451 | (02) | CA |